Harmonized Forms

Life Insurance Replacement Declaration Form

The harmonized Life Insurance Replacement Declaration (LIRD) form, developed in 2008, has been adopted in several jurisdictions and others are in the process of adopting the new form. Please ensure that the form is acceptable in your jurisdiction before using it.

Agent & Broker Applications

Insurance agents or brokers currently licensed in a Canadian jurisdiction and applying for a non-resident licence in another Canadian jurisdiction (except the Yukon) can utilize the application forms that have been jointly developed by the Canadian Council of Insurance Regulators (CCIR) and the Canadian Insurance Services Regulatory Organizations (CISRO).

There are two sets of application packages:

Each package consists of:

There is also an Appendix B which provides the mailing addresses and websites for the licensing authorities in all Canadian jurisdictions.

Some jurisdictions have also agreed to accept the application forms from residents applying to become licensed in their home jurisdiction. Currently, Ontario Northwest Territories, Nunavut, and Prince Edward Island have also agreed to accept the applications from residents.

Insurers Application

In 1998, CCIR developed a standardized Application for Insurer's License form. The form is used by insurers seeking incorporation and/or a license to undertake the business of insurance in a Canadian jurisdiction. It is updated periodically.

Application Fees

Please consult with each jurisdiction to ascertain the fees that are due and the payment methods that are available for that particular jurisdiction.